Healthcare Provider Details

I. General information

NPI: 1841800323
Provider Name (Legal Business Name): DANIELLE SOLLERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2020
Last Update Date: 08/09/2020
Certification Date: 08/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10045 BALTIMORE NATIONAL PIKE UNIT A7600
ELLICOTT CITY MD
21042-3673
US

IV. Provider business mailing address

10045 BALTIMORE NATIONAL PIKE UNIT A7600
ELLICOTT CITY MD
21042-3673
US

V. Phone/Fax

Practice location:
  • Phone: 667-444-2331
  • Fax:
Mailing address:
  • Phone: 667-444-2331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License NumberR217330
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: